Primary anterior cruciate ligament reconstruction in athletes: a 5-year follow up comparing patellar tendon versus hamstring tendon autograft

Summary Introduction ACL reconstruction with quadruple hamstring graft (HT) as well as bone-patellar tendon-bone autograft (PT) is a frequent procedure in athletes after ACL rupture. Both techniques are reported to provide for satisfying results but only few articles compare both techniques. Materia...

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Bibliographic Details
Published in:Wiener Klinische Wochenschrift 2014-07, Vol.126 (13-14), p.397-402
Main Authors: Leitgeb, Johannes, Koettsdorfer, Julia, Schuster, Rupert, Kovar, Florian M., Platzer, Patrick, Aldrian, Silke
Format: Article
Language:English
Subjects:
Adolescent
Adult
Anterior Cruciate Ligament Injuries
Anterior Cruciate Ligament Reconstruction - methods
Arthrometry, Articular
Arthroscopy - methods
Athletic Injuries - surgery
Endocrinology
Female
Follow-Up Studies
Gastroenterology
Humans
Internal Medicine
Joint Instability - etiology
Male
Medicine
Medicine & Public Health
Originalarbeit
Pneumology/Respiratory System
Postoperative Complications - etiology
Prospective Studies
Rupture
Tendons - transplantation
Tissue and Organ Harvesting
Transplant Donor Site
Young Adult
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Summary:Summary Introduction ACL reconstruction with quadruple hamstring graft (HT) as well as bone-patellar tendon-bone autograft (PT) is a frequent procedure in athletes after ACL rupture. Both techniques are reported to provide for satisfying results but only few articles compare both techniques. Material and methods Prospective evaluation was performed on 96 patients with isolated ACL rupture undergoing reconstruction with a HT or PT autograft by a single surgeon at our institution. Long time follow-up after five years included the IKDC and KOOS evaluation form as well as clinical assessment (ROM, Lachmann testing, KT-2000). Results Comparing both methods revealed no significant differences regarding IKDC and KOOS. The KT-2000 arthrometer testing showed a slightly increased mean laxity in the HT group. There were no differences regarding harvest side symptoms comparing HT and PT as well as one and two incision technique. Kneeling pain was significantly less common after HT autograft. Summary HT as well as PT autograft achieve equally good clinical results in athletes at five year follow-up with no significant difference regarding knee stability. Although no difference concerning the harvest site was identified, HT seems to be favorable for patients who work in a kneeling position.
ISSN:0043-5325
1613-7671
DOI:10.1007/s00508-014-0550-4